Individual
MICHAEL R ABIDIN
Active
Individual
MICHAEL R ABIDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
0101054696
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101054696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568465912
—
VA
05
—
30016181230001
—
VA
01
—
P00711443
RR MEDICARE
DC
Enumeration date
05/31/2005
Last updated
10/09/2023
Update your record
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